DIOCESAN COUNCIL OF THE SOCIETY OF ST. VINCENT DE PAUL DIOCESE OF PHX (NPI# 1952572240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952572240 |
| Entity Type | Organization |
| Organization Name | DIOCESAN COUNCIL OF THE SOCIETY OF ST. VINCENT DE PAUL DIOCESE OF PHX |
| Other Organization Name | ST. VINCENT DE PAUL VIRGINIA G. PIPER MEDICAL & DENTAL CLINIC |
| Practice Address |
420 W Watkins Rd Phoenix AZ 85003-2830 |
| Mailing Address |
Po Box 13600 Phoenix AZ 85002-3600 |
| Practice Telephone | 6022616825 |
| Mailing Telephone | 6022616825 |
| Mailing Fax Number | 6022616816 |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2008-03-14 |
| Authorized Official Name | JANICE ERTL (CLINIC DIRECTOR) |
| Authorized Official Telephone | 6022616880 |
| Authorized Official Credential | RN, MHSA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
OTC 0669 | AZ | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| St. Vincent de Paul Virginia G. Piper Medical & Dental Clinic | Doing Business As Name - Organization |
| Street Address |
420 W WATKINS RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85003-2830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619077229 | Erin Marie Tharalson | Nurse Practitioner | 420 W Watkins Rd, Phoenix, AZ 85003-2830 | 2006-09-24 |
| 1649806019 | Aishwarya Subramanian | Student in an Organized Health Care Education/Training Program | 420 W Watkins Rd, Phoenix, AZ 85003-2830 | 2020-03-18 |
| 1043846389 | Hye Ryun Choi | Student in an Organized Health Care Education/Training Program | 420 W Watkins Rd, Phoenix, AZ 85003-2830 | 2020-03-18 |
| 1669007365 | Betzanahy Leyva | Student in an Organized Health Care Education/Training Program | 420 W Watkins Rd, Phoenix, AZ 85003-2830 | 2020-03-03 |
| 1821551755 | Jonathan Dizon | Student in an Organized Health Care Education/Training Program | 420 W Watkins Rd, Phoenix, AZ 85003-2830 | 2019-04-08 |
| 1891257176 | Lissette Ruiz Ibarra | Student in an Organized Health Care Education/Training Program | 420 W Watkins Rd, Phoenix, AZ 85003-2830 | 2019-04-04 |
| 1548721541 | Ermias Mehretab | Student in an Organized Health Care Education/Training Program | 420 W Watkins Rd, Phoenix, AZ 85003-2830 | 2019-03-31 |
| 1922503218 | Maria Shah | Student in an Organized Health Care Education/Training Program | 420 W Watkins Rd, Phoenix, AZ 85003-2830 | 2018-03-28 |
| 1558802280 | Haley Van Winkle | Student in an Organized Health Care Education/Training Program | 420 W Watkins Rd, Phoenix, AZ 85003-2830 | 2017-03-14 |
| 1336689280 | Daniel Pico | Dentist | 420 W Watkins Rd, Phoenix, AZ 85003 | 2017-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518504406 | Jennifer A Day | Counselor | 125 South Avenue, Phoenix, AZ 85003 | 2019-12-10 |
| 1588148993 | Jillian Ralston | Optometrist | 112 W Mcdowell Road, Phoenix, AZ 85003 | 2018-09-20 |
| 1699254839 | Corner Pharmacy Incorporated | Pharmacy | 112 N 5th Ave Ste 101, Phoenix, AZ 85003 | 2018-08-08 |
| 1003279043 | Kimberly Brown | Technician, Other | 609 N 2nd Aveunue, 200, Phoenix, AZ 85003 | 2016-03-29 |
| 1548678626 | Douglas Barshter | Technician, Other | 602 N 2nd Avenue, Phoenix, AZ 85003 | 2014-08-01 |
| 1346655099 | Benjamin Heller | Family Medicine | 515 W Buckeye Rd Ste 104, Phoenix, AZ 85003 | 2014-06-20 |
| 1225383201 | Charles S Bell | Counselor | 609 North 2nd Ave., Phoenix, AZ 85003 | 2012-07-17 |
| 1790004133 | Arizona Cvs Stores, L.L.C. | Durable Medical Equipment & Medical Supplies | 50 W. Jefferson St., Suite 140, Phoenix, AZ 85003 | 2010-05-25 |
| 1184806960 | Word Play, LLC | Home Health | 808 N 4th Ave Unit 12, Phoenix, AZ 85003 | 2007-12-03 |
| 1609067842 | Salim Shafi | Dentist | 125 W Mcdowell Road, Phoenix, AZ 85003 | 2007-08-05 |
| Find all providers in zip 85003 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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|---|---|---|---|---|
| 1144696097 | Wesley Community Center, Inc | Clinic/Center | 1625 N 39th Ave, Phoenix, AZ 85009-2149 | 2015-08-14 |
| 1538250535 | Desert Mission Inc | Clinic/Center | 9201 N 5th St, Phoenix, AZ 85020-2532 | 2006-09-27 |
| 1003413022 | Sharon Williams | Clinic/Center | 4530 E Muirwood Dr Ste 103, Phoenix, AZ 85048-7693 | 2020-10-02 |
| 1679955504 | Walmart | Clinic/Center | 7575 W Lower Buckeye Rd, Phoenix, AZ 85043-3450 | 2015-06-27 |
| 1487050589 | Target | Clinic/Center | 4734 E Ray Rd, Phoenix, AZ 85044-6225 | 2014-11-17 |
| 1477953685 | Northern Oswego County Health Services, Inc. | Clinic/Center | 7 Bridge St, Phoenix, NY 13135-1906 | 2014-08-26 |
| 1174934111 | Cvs/caremark | Clinic/Center | 1525 N Central Ave, Phoenix, AZ 85004-1646 | 2014-05-13 |
| 1245676394 | Desert Edge Recovery | Clinic/Center | 1950 W Heatherbrae Dr, Ste4, Phoenix, AZ 85015 | 2013-05-16 |
| 1265798664 | Arizona State University | Clinic/Center | 500 N 3rd St, Phoenix, AZ 85004-2135 | 2012-04-10 |
| 1871812131 | My Sister My Friend | Clinic/Center | 3340 W Southern Ave, Phoenix, AZ 85041-4308 | 2010-05-26 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.